Provider Demographics
NPI:1902093529
Name:ALCIVAR, MELINA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:MELINA
Middle Name:
Last Name:ALCIVAR
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:MELINA
Other - Middle Name:
Other - Last Name:DRUMGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MELINA DRUMGO
Mailing Address - Street 1:13800 VETERANS WAY
Mailing Address - Street 2:OCCUPATIONAL HEALTH
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827
Mailing Address - Country:US
Mailing Address - Phone:407-631-2844
Mailing Address - Fax:
Practice Address - Street 1:13800 VETERANS WAY RM 2Q112
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827
Practice Address - Country:US
Practice Address - Phone:407-631-2844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9365485363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner